PST Florida 2009 LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PST FLORIDA 2009 LLC

Practice address

3300 SW 34TH Ave
Suite 116
Ocala, FL 34474-7448

Phone

(877) 896-9301

NPI assigned

Jan 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Grischkan

Title

Ceo

Phone

(216) 896-9301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casey Shea Chapman, FNP

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1558973511
  Medicare reassignment NPD
• Linda Perkins, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1629496278
  Medicare reassignment NPD
• Mary Roxanne Riedy, ARNP

  • Family Nurse Practitioner
  • Lakeland, FL
  • NPI 1982035598
  Medicare reassignment NPD
• Harold Frolich, MD

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1649284043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1134423072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SW 34TH AVE",
            "address_2": "SUITE 116",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747448",
            "telephone_number": "877-896-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SW 34TH AVE",
            "address_2": "SUITE 116",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747448",
            "telephone_number": "877-896-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PST FLORIDA 2009 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "GRISCHKAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-896-9301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Len Psikogios, MD
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• Psychological Services & Consultations, LLC
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets Inc

• Internal Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.